Chapter 19

Question 0

Direct care

Answer 0

Preformed through interactions w. The patient

Question 1

Nursing intervention

Answer 1

Treatment based on clinical judgement and knowledge that a nurse performs to enhance patient outcomes

Question 2

Indirect care

Answer 2

Treatments preformed away from the patient on their behalf

Question 3

Factors that should be considered when making decisions about implementations

Answer 3

1. Review set of nursing interventions
2. Review possible consequences for each nursing action
3. Determine the probability of each consequence
4. Make a judgement of the values of the consequence

Question 4

Clinical practice guidelines

Answer 4

Systematically developed set of statements help health providers make decisions about appropriate care

Improves the quality of health care by bridging the gap between the research and actual practice

Question 5

Standing orders

Answer 5

Preprinted document containing the orders for the conduct of routine therapies, monitoring patients and diagnostic procedures for identified clinical problems

Give the nurse protection to intervene in the patients best interest

Question 6

5 activities for implementation

Answer 6

Reassess the patient
Review and revise the care plan
Organize resources and care
Anticipating and preventing complications
Implementation skills

Question 7

Explain reassessing the patient

Answer 7

Helps to decide if the nursing actions are still appropriate for the patients wellness

Question 8

Explain reviewing the care plan

Answer 8

To validate the diagnoses and determine whether the interventions remain most appropriate.

Question 9

Modification of a care plan includes what steps (4)

Answer 9

1. Revise the assessment data
2. Revise the nursing diagnoses
3. Revise the interventions
4. Choose a method of evaluation

Question 10

Explain organization of resources in relation to implementation

Answer 10

Make sure to have the correct ( up to date and enough of) the supplies necessary for the treatment

Determine if you need other personnel help for the treatment ( primary nurse: responsible for the patient for their entire stay; team nurse: responsible for patient on a specific shift)

Provide a compatible care environment

Make sure the patient is ready for the treatment

Question 11

Explain anticipating complications

Answer 11

Look for and recognize risks

Adapt interventions and evaluate

Question 12

Explain implementation skills

Answer 12

Cognitive: critical thinking
Interpersonal: developing a trusting relationship
Psychomotor: integration of cognitive and motor skills

Question 13

Define physical care techniques

Answer 13

The safe ad competent administration of nursing procedures

Question 14

Define life saving measures

Answer 14

Physical care techniques that is used when a patients state is threatened. Used to restore homeostasis

Question 15

Define counseling

Answer 15

Direct care that helps patients use a problem-solving process to facilitate interpersonal relationships

Change results in the development of new attitudes

Question 16

The focus of teaching

Answer 16

Education is key

The focus of change is intellectual growth or acquisition of knowledge

Question 17

Define an adverse reaction

Answer 17

A harmful or unintended effect of an intervention

Important to recognize the s/s of a reaction and intervene in a timely manner

Question 18

Define preventive measures in nursing actions

Answer 18

Promote health and prevent illness to avoid rehabilitative health care
Primary: health education, immunizations
Secondary: person is experiencing a health problem and are at risk to worsen
Tertiary: minimizing the effects of long-term illness

Question 19

Define patient adherence

Answer 19

Patients and families invest time in carrying out required treatments
(Necessary to achieve patient goals)